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D. Goodarzipour, A. Saeedi, N. Bahrami,
Volume 22, Issue 3 (1 2009)
Abstract

Background and Aim: Impaction of maxillary cuspids is the most common after third molars with 1% to 3% prevalence. Localization of these impacted teeth may affect orthodontic or surgical treatment plan. Therefore, different techniques have been introduced to localize impacted canines. The present study was conducted to compare the accuracy of panoramic, tube shift and panoramic plus palpation in determination of the position of maxillary impacted canine.
Materials and Methods: 47 patients (20 females, 27 males) with the age of more than 12 years (mean age of 25.4 years old) whom referred to Dental School, Tehran University of Medical Sciences, with at least one impacted maxillary canine included. An oral and maxillofacial radiologist localized impacted canine first by using panoramic then tube shift technique blindly. After that, an oral and maxillofacial surgeon localized the canine by panoramic and palpation of the area before surgery. Data obtained from radiologist and surgeon were compared with true location of canine after surgery. Statistical analysis was done using sensitivity and specificity.
Results: Among total 47 impacted maxillary canines, 11 cases (23.4%) showed buccal impactions and 36 cases (76.6%) palatal impactions. Sensitivity (ability of technique to localize palatal impaction) of all of the techniques were same (100%) but specificity (ability of technique to localize buccal impaction) of tube shift (100%) was more than two others (0%).
Conclusion: The tube shift technique was the most accurate technique to localize maxillary unerupted canines compared to the others. Due to the ability of panoramic and panoramic with palpation in prediction of palatal canine impactions and failure of these techniques to predict buccal impactions, both methods are not suitable in localization of impacted maxillary canines and they must be used as adjunctive techniques.


Azam Ahmadian Yazdi, Samareh Mortazavi, Hosein Saeedi Moghaddam,
Volume 32, Issue 3 (11-2019)
Abstract

Background and Aims: Dental diagnosis may be affected by the occurrence of the errors in the intra-oral radiographic images and the patients’ treatment plan can be problematic in these cases. The repetition of these radiographs increases the risks of radiation exposure for the patients in turn. The present study assessed the incidences of common periapical radiographic errors taken by dental students in oral and maxillofacial radiology department of Mashhad dental school in 2017.
Materials and Methods: In this cross-sectional descriptive study, 1470 periapical radiographs prepared by student during a semester of 2017 were collected and evaluated. Radiographic observations were done and the incidence of conventional radiographic errors were determined. Finally, the frequency and percentage of radiographic errors were determined based on the type of radiography sex, the age of the patient, and the history of radiography. Then, results were analyzed using the Chi-Square test and SPSS19 (P=0.05).
Results: Film placement (27.2%), cone-cut (27.2%), elongation (13.2%) and horizontal angle (10.9%) were reported as the most common radiographic errors. The repetition rate of the radiographs was 2.9%; among them, the highest errors were Cone-cut errors in the upper jaw
Conclusion: Based on the results of this study, the most radiographic errors included film position and Cone-cut errors and these two errors were the most frequent cause of repetitive radiographies that required the provision of specific training for the prevention of these errors.


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